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Alpha-Gal in Medications & Products

Look up mammalian-derived ingredients (beef, pork, gelatin, animal-source stearates and glycerin) in prescription and OTC medications, supplements, vaccines, and consumer products. All data is sourced from official sources (DailyMed, FDA, CDC) and every record is downloadable as CSV or PDF.

183 verified products in the database, sourced from official records.

Featured Research

Epidemiologic Study of Transfusion-Related Alpha-Gal Syndrome (TRAGS)

Knudson et al., JAMA Internal Medicine — August 2026

An international, multicenter cohort study of 558,823 platelet and plasma transfusions found that in U.S. regions with high alpha-gal syndrome prevalence, blood type O patients receiving group B or AB units had significantly higher rates of allergic transfusion reactions (RR 3.93) — with moderate-to-severe reactions reaching RR 9.14. The study provides provocative epidemiologic evidence that TRAGS may be a unique, previously unrecognized transfusion risk, and recommends risk mitigation in AGS high-prevalence regions.

Read in JAMA Internal Medicine

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183 products found

Metformin Hydrochloride Extended-Release Tablets (Actavis)

May Contain

Actavis Pharma, Inc.

Extended-release metformin uses magnesium stearate which may originate from mammalian tallow.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin hydrochloride 500 mg

Inactive Ingredients

hydroxypropyl cellulose, hypromellose, magnesium stearate

The formulation contains magnesium stearate whose origin is unspecified in the label.

Source Verified

Omeprazole Delayed-Release Capsules (Sandoz)

Contains Mammalian

Sandoz Inc

Delayed-release omeprazole capsules use mammalian-derived gelatin shells.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian-derived), magnesium stearate (source unspecified)

Active Ingredients

Omeprazole 20 mg

Inactive Ingredients

crospovidone, dibasic sodium phosphate, hypromellose, lactose anhydrous, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, polyethylene glycol, sodium lauryl sulfate, capsule shell: gelatin, titanium dioxide

Encapsulated in gelatin derived from bovine/porcine tissues and contains magnesium stearate.

Source Verified

Gabapentin Tablets (Ascend)

May Contain

Ascend Laboratories, LLC

Gabapentin tablets avoid gelatin and lactose but contain magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Gabapentin 600 mg

Inactive Ingredients

copovidone, poloxamer 407, magnesium stearate, hydroxypropyl cellulose, talc, polyethylene glycol

Tablets do not contain gelatin or lactose, but magnesium stearate origin is not defined.

Source Verified

FLUCELVAX QUADRIVALENT (Influenza Vaccine)

Mammalian-Free

Seqirus Inc.

Flucelvax Quadrivalent is free of gelatin, albumin, and mammalian-derived excipients.

Alpha-Gal Risklow

Active Ingredients

Influenza virus surface antigens (hemagglutinin and neuraminidase) from two A and two B strains propagated in cell culture

Inactive Ingredients

sodium chloride, potassium chloride, magnesium chloride hexahydrate, disodium phosphate dihydrate, potassium dihydrogen phosphate, water for injection

FLUCELVAX QUADRIVALENT does not contain gelatin, bovine serum, or mammalian-derived inactive stabilizers, making it a safe influenza vaccine option for AGS patients.

Source Verified

ZOSTAVAX (Zoster Vaccine Live)

Contains Mammalian

Merck Sharp & Dohme Corp.

Contains porcine gelatin and bovine calf serum residuals.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed porcine gelatin, bovine calf serum

Active Ingredients

Live attenuated Oka/Merck strain of varicella-zoster virus

Inactive Ingredients

sucrose, hydrolyzed porcine gelatin, monosodium L-glutamate, sodium chloride, dibasic sodium phosphate, monobasic potassium phosphate, potassium chloride, residual MRC-5 cells, neomycin, bovine calf serum

Contains explicitly labeled hydrolyzed porcine gelatin stabilizer and bovine calf serum.

Source Verified

Flublok Quadrivalent

Mammalian-Free

Sanofi Pasteur Inc.

Recombinant, non-mammalian influenza vaccine free of gelatin and bovine serum.

Alpha-Gal Risklow

Active Ingredients

Recombinant hemagglutinin (HA) proteins of four influenza virus strains

Inactive Ingredients

sodium chloride, monobasic sodium phosphate, dibasic sodium phosphate, polysorbate 20, baculovirus and host cell proteins, baculovirus and cellular DNA, Triton X-100

Produced in an insect cell line (expresSF+) without mammalian tissues, gelatin, milk proteins, or bovine serum albumin.

Source Verified

Genexa Children's Allergy Diphenhydramine

Mammalian-Free

Genexa Inc.

Completely free of animal derivatives, formulated using only organic plant syrup and water.

Alpha-Gal Risklow

Active Ingredients

Diphenhydramine HCl 12.5 mg per 5 mL

Inactive Ingredients

organic agave syrup, natural citric extract, purified water

Contains exclusively plant-derived and water-based excipients with certified absence of animal byproducts.

Source Verified

Metformin Hydrochloride Tablets USP (500 mg)

May Contain

Amneal Pharmaceuticals LLC

Metformin tablets contain magnesium stearate without explicit verification of vegetable origin, representing a potential mammalian exposure.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin hydrochloride 500 mg

Inactive Ingredients

hypromellose, magnesium stearate, polyethylene glycol, povidone, pregelatinized corn starch, titanium dioxide

Tablet contains magnesium stearate with an unspecified chemical source, which may be synthesized using tallow fatty acids from cattle.

Source Verified

Amoxicillin Capsules USP (500 mg)

Contains Mammalian

Teva Pharmaceuticals USA, Inc.

Amoxicillin 500 mg hard capsules use a gelatin shell derived from mammalian tissues, posing a high risk for alpha-gal reactions.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine/bovine), magnesium stearate (source unspecified)

Active Ingredients

Amoxicillin trihydrate 500 mg

Inactive Ingredients

D&C Red No. 28, D&C Red No. 33, FD&C Blue No. 1, gelatin, magnesium stearate, titanium dioxide

Hard gelatin capsule shells are produced from mammalian collagen (bovine and/or porcine hides and bones), presenting verified exposure to alpha-gal.

Source Verified

Prilosec Delayed-Release Capsules (Omeprazole)

Contains Mammalian

Covis Pharma US, Inc.

Prilosec capsules utilize mammalian-derived gelatin shells, presenting a documented alpha-gal hazard.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine/bovine), magnesium stearate (source unspecified), glyceryl monostearate (source unspecified)

Active Ingredients

Omeprazole magnesium 20.6 mg equivalent to 20 mg omeprazole

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, iron oxide, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol, polysorbate 80, crospovidone, sodium stearyl fumarate, sugar spheres, talc, titanium dioxide, triethyl citrate, gelatin capsule shell contains gelatin

The delayed-release capsule contains gelatin of bovine or porcine origin, alongside stearate excipients of potential mammalian derivation.

Source Verified

Losartan Potassium Tablets USP (50 mg)

Contains Mammalian

Aurobindo Pharma Limited

Losartan potassium tablets contain bovine-derived lactose monohydrate and magnesium stearate, indicating alpha-gal risk.

Alpha-Gal Riskhigh

Mammalian Ingredients

lactose monohydrate (bovine origin), magnesium stearate (source unspecified)

Active Ingredients

Losartan potassium 50 mg

Inactive Ingredients

microcrystalline cellulose, lactose monohydrate, pregelatinized corn starch, low substituted hydroxypropyl cellulose, magnesium stearate, hypromellose, hydroxypropyl cellulose, titanium dioxide

Contains lactose monohydrate derived from bovine milk, which contains alpha-gal antigens capable of triggering hypersensitivity in sensitized patients.

Source Verified

Gabapentin Capsules USP (300 mg)

Contains Mammalian

Glenmark Pharmaceuticals Inc., USA

Gabapentin capsules consist of a mammalian gelatin casing, creating a direct exposure hazard for patients with AGS.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine/bovine)

Active Ingredients

Gabapentin 300 mg

Inactive Ingredients

corn starch, mannitol, talc, gelatin, titanium dioxide, yellow iron oxide

The two-piece hard capsule is manufactured from animal gelatin, which is a known source of alpha-gal carbohydrate moieties.

Source Verified

Zyrtec Allergy Tablets (Cetirizine Hydrochloride)

Contains Mammalian

Johnson & Johnson Consumer Inc.

Zyrtec tablets contain bovine-derived lactose monohydrate and magnesium stearate, posing potential alpha-gal allergy concerns.

Alpha-Gal Riskhigh

Mammalian Ingredients

lactose monohydrate (bovine milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine hydrochloride 10 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Lactose monohydrate is refined from cow's milk and can retain mammalian antigenic residues including alpha-gal; product also contains magnesium stearate.

Source Verified

Claritin 24 Hour Allergy Tablets (Loratadine)

Contains Mammalian

Bayer HealthCare LLC

Claritin tablets are formulated with bovine lactose monohydrate and magnesium stearate, presenting clear alpha-gal concerns.

Alpha-Gal Riskhigh

Mammalian Ingredients

lactose monohydrate (bovine milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate

Claritin tablets utilize bovine-derived lactose monohydrate as a principal filler, which poses reactivity hazards for individuals with alpha-gal syndrome.

Source Verified

ProAir HFA (Albuterol Sulfate Inhalation Aerosol)

May Contain

Teva Respiratory, LLC

ProAir HFA utilizes oleic acid excipient of unspecified origin, posing potential moderate alpha-gal risk if derived from tallow.

Alpha-Gal Riskmoderate

Mammalian Ingredients

oleic acid (source unspecified)

Active Ingredients

Albuterol sulfate 108 mcg (equivalent to 90 mcg albuterol base)

Inactive Ingredients

hydrofluoroalkane (HFA-134a: 1,1,1,2-tetrafluoroethane), ethanol, oleic acid

Oleic acid may be sourced from plant fats or animal tallow; absent manufacturer certification of vegetable origin, potential mammalian sourcing remains.

Source Verified

Ergocalciferol Capsules USP (Vitamin D2 50,000 IU)

Contains Mammalian

Strides Pharma Science Limited

Ergocalciferol 50,000 IU softgel capsules contain mammalian gelatin, constituting a clear alpha-gal exposure risk.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine/bovine), glycerin (source unspecified)

Active Ingredients

Ergocalciferol 1.25 mg (equivalent to 50,000 USP units Vitamin D)

Inactive Ingredients

corn oil, gelatin, glycerin, purified water, D&C Yellow No. 10, FD&C Blue No. 1

High-dose vitamin D capsules are formulated as softgel capsules requiring mammalian gelatin as the main shell ingredient.

Source Verified

Colace Regular Strength Stool Softener Capsules

Contains Mammalian

Avrio Health L.P.

Colace capsules feature a mammalian gelatin shell that poses a verified risk for alpha-gal allergic reactions.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine/bovine), glycerin (source unspecified)

Active Ingredients

Docusate sodium 100 mg

Inactive Ingredients

D&C Red No. 33, FD&C Blue No. 1, FD&C Red No. 40, FD&C Yellow No. 6, gelatin, glycerin, polyethylene glycol, propylene glycol, purified water, sorbitol, titanium dioxide

The softgel capsule body consists of animal gelatin, making it hazardous for patients with confirmed alpha-gal syndrome.

Source Verified

Levothyroxine Sodium Tablets (Teva)

May Contain

Teva Pharmaceuticals USA, Inc.

Lactose-free generic levothyroxine formulation that still contains magnesium stearate with unspecified mammalian/plant sourcing.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine sodium 50 mcg

Inactive Ingredients

colloidal silicon dioxide, corn starch, magnesium stearate, microcrystalline cellulose, sodium starch glycolate

Formulated without lactose but contains magnesium stearate without a vegetable source certification on the package insert.

Source Verified

Metformin Hydrochloride Tablets (Aurobindo)

May Contain

Aurobindo Pharma Limited

Tablet uses magnesium stearate of unspecified derivation, posing a potential risk for AGS individuals.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin hydrochloride 500 mg

Inactive Ingredients

povidone, magnesium stearate, hypromellose, polyethylene glycol

Magnesium stearate is present without an indication of plant or animal source on the package label.

Source Verified

Omeprazole Delayed Release Tablets (Dexcel Pharma)

May Contain

Dexcel Pharma Technologies Ltd.

Gelatin-free delayed-release tablet containing bovine lactose monohydrate and magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine milk), magnesium stearate (source unspecified)

Active Ingredients

Omeprazole 20 mg

Inactive Ingredients

carnauba wax, ferric oxide red, ferric oxide yellow, hypromellose, hypromellose phthalate, lactose monohydrate, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, polyethylene glycol 400, polysorbate 80, sodium starch glycolate, talc, titanium dioxide, triethyl citrate

Lacks a gelatin capsule shell but contains lactose monohydrate and magnesium stearate.

Source Verified

Losartan Potassium Tablets (Alembic)

May Contain

Alembic Pharmaceuticals Inc.

Formulated with bovine-derived lactose monohydrate and magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine milk), magnesium stearate (source unspecified)

Active Ingredients

Losartan potassium 50 mg

Inactive Ingredients

microcrystalline cellulose, lactose monohydrate, pregelatinized maize starch, magnesium stearate, hydroxypropyl cellulose, hypromellose, titanium dioxide, talc

Generic losartan tablets containing bovine lactose monohydrate and magnesium stearate.

Source Verified

Armour Thyroid

Contains Mammalian

AbbVie Inc.

Armour Thyroid is composed of porcine thyroid tissue containing alpha-gal-bearing mammalian antigens.

Alpha-Gal Riskhigh

Mammalian Ingredients

thyroid tablets USP (porcine thyroid extract), calcium stearate (source unspecified)

Active Ingredients

Thyroid tablets USP (desiccated porcine thyroid) 60 mg (1 grain)

Inactive Ingredients

calcium stearate, dextrose, microcrystalline cellulose, sodium starch glycolate, opacifying agent

Contains desiccated porcine thyroid as its active entity containing mammalian thyroglobulin rich in alpha-gal epitopes.

Source Verified

Lisinopril Tablets USP

May Contain

Lupin Pharmaceuticals, Inc.

Lisinopril tablets contain magnesium stearate without origin certification, representing a potential mammalian exposure risk.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Lisinopril 10 mg

Inactive Ingredients

colloidal silicon dioxide, dibasic calcium phosphate, magnesium stearate, mannitol, pregelatinized starch

Contains magnesium stearate of unspecified derivation, meaning animal/bovine fat sourcing cannot be excluded.

Source Verified

Tirosint-SOL

May Contain

IBSA Institut Biochimique SA

Tirosint-SOL oral solution eliminates capsule gelatin and lactose but includes glycerol of unspecified sourcing.

Alpha-Gal Riskmoderate

Mammalian Ingredients

glycerol (source unspecified)

Active Ingredients

Levothyroxine sodium 50 mcg/mL

Inactive Ingredients

glycerol, water

Contains glycerol without specified plant origin, which can be synthesized, plant-derived, or derived from animal tallow.

Source Verified

Amoxicillin for Oral Suspension, USP

Mammalian-Free

Aurobindo Pharma Limited

Amoxicillin powder for suspension contains no mammalian gelatin or animal-derived excipients.

Alpha-Gal Risklow

Active Ingredients

Amoxicillin trihydrate 250 mg/5 mL

Inactive Ingredients

cherry flavour, colloidal silicon dioxide, FD&C Red No. 40, sodium benzoate, sodium citrate, sucrose, xanthan gum

Reconstituted liquid oral suspension excludes capsule gelatin, lactose, and stearate lubricants.

Source Verified

Prilosec OTC Delayed-Release Tablets

May Contain

Procter & Gamble

Prilosec OTC tablets eliminate capsule gelatin but incorporate stearates of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

glyceryl monostearate (source unspecified), magnesium stearate (source unspecified)

Active Ingredients

Omeprazole magnesium delayed-release tablet 20.6 mg (equivalent to 20 mg omeprazole)

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, iron oxide, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol 6000, polysorbate 80, polyvinylpyrrolidone, sodium stearyl fumarate, starch, sucrose, talc, titanium dioxide, triethyl citrate

Prilosec OTC tablets avoid capsule gelatin, but contain stearate derivatives (glyceryl monostearate and magnesium stearate) whose fat sources are unspecified.

Source Verified

Gabapentin Tablets, USP

May Contain

Glenmark Pharmaceuticals Inc., USA

Glenmark gabapentin tablets eliminate gelatin but contain magnesium stearate of unknown fat origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Gabapentin 600 mg

Inactive Ingredients

copovidone, corn starch, magnesium stearate, poloxamer 407, hydroxypropyl cellulose, talc, polyethylene glycol 8000, titanium dioxide

Tablet dosage form avoids gelatin capsule shells but incorporates magnesium stearate of unspecified derivation.

Source Verified

Priorix

Contains Mammalian

GlaxoSmithKline Biologicals

Priorix MMR vaccine is formulated without gelatin but contains bovine-derived lactose stabilizer.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose (bovine milk-derived)

Active Ingredients

Measles, Mumps, and Rubella Vaccine, Live (Schwarz measles strain, RIT 4385 mumps strain, Wistar RA 27/3 rubella strain)

Inactive Ingredients

amino acids, lactose, mannitol, sorbitol, neomycin sulfate

Priorix is gelatin-free but contains bovine milk-derived lactose stabilizer, posing a lower risk than gelatin-containing MMR vaccines but not completely mammalian-free.

Source Verified

Levothyroxine Sodium Tablets, USP

May Contain

Mylan Pharmaceuticals Inc.

Generic levothyroxine tablets contain magnesium stearate without specified origin, presenting moderate alpha-gal risk.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine sodium 50 mcg

Inactive Ingredients

colloidal silicon dioxide, corn starch, magnesium stearate, mannitol, microcrystalline cellulose, and colorants

The product is lactose-free but contains magnesium stearate of unspecified origin, which may be synthesized from mammalian fatty acids.

Source Verified

Amoxicillin Capsules, USP

Contains Mammalian

Teva Pharmaceuticals USA, Inc.

Amoxicillin capsules utilize mammalian gelatin shells and magnesium stearate.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (bovine/porcine), magnesium stearate (unspecified)

Active Ingredients

Amoxicillin trihydrate 500 mg

Inactive Ingredients

magnesium stearate, capsule shell: gelatin, titanium dioxide, yellow iron oxide, FD&C Blue No. 1, FD&C Red No. 3

Hard gelatin capsule shells are manufactured predominantly from bovine or porcine tissues, posing significant risk of alpha-gal allergen exposure.

Source Verified

Loratadine Tablets, USP

May Contain

Apotex Corp.

Generic loratadine tablets contain bovine lactose monohydrate and magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine origin), magnesium stearate (unspecified origin)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate, pregelatinized starch

Contains lactose monohydrate from bovine milk and stearate lubricant of unspecified origin.

Source Verified

Levoxyl

May Contain

King Pharmaceuticals LLC

Lactose-free formulation that still includes magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine sodium (25 mcg to 300 mcg)

Inactive Ingredients

microcrystalline cellulose, croscarmellose sodium, magnesium stearate, calcium sulfate dihydrate, color additives

Does not contain lactose, but contains magnesium stearate of unspecified origin, representing a moderate risk.

Source Verified

Neurontin Oral Solution

May Contain

Pfizer Laboratories Div Pfizer Inc

Oral solution formulated with glycerin of unconfirmed botanical or mammalian derivation.

Alpha-Gal Riskmoderate

Mammalian Ingredients

glycerin (source unspecified)

Active Ingredients

Gabapentin 250 mg/5 mL

Inactive Ingredients

glycerin, xylitol, purified water, artificial cool strawberry anise flavor

Contains glycerin, which can be manufactured from tallow/mammalian fats or vegetable lipids; the label does not certify a plant origin.

Source Verified

Fluzone Quadrivalent

Mammalian-Free

Sanofi Pasteur Inc.

Produced in embryonated chicken eggs and free of mammalian stabilizers or gelatin.

Alpha-Gal Risklow

Active Ingredients

Influenza Virus Vaccine (split virion, inactivated)

Inactive Ingredients

sodium phosphate-buffered isotonic sodium chloride solution, formaldehyde, octylphenol ethoxylate (Triton X-100), gelatin-free

Fluzone Quadrivalent is produced in embryonated chicken eggs and contains no gelatin, mammalian excipients, or bovine-derived stabilizers.

Source Verified

Tirosint

Contains Mammalian

IBSA Pharma Inc.

Softgel capsule made of porcine gelatin, posing a high risk for alpha-gal allergy.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine), glycerin (source unspecified)

Active Ingredients

Levothyroxine sodium (13 mcg to 200 mcg)

Inactive Ingredients

gelatin, glycerin, purified water

Formulated as a soft gelatin capsule shell made with porcine gelatin, which presents a high risk of triggering alpha-gal syndrome reactions.

Source Verified

Varivax

Contains Mammalian

Merck Sharp & Dohme LLC

Contains porcine hydrolyzed gelatin and residual bovine serum, presenting a high risk.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed gelatin (porcine), trace bovine serum

Active Ingredients

Varicella Virus Vaccine Live (Oka/Merck Strain)

Inactive Ingredients

sucrose, hydrolyzed gelatin, sodium chloride, monosodium L-glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, residual components of MRC-5 cells, neomycin, bovine serum

Contains hydrolyzed porcine gelatin as a stabilizer and trace bovine serum from cell culture manufacturing, presenting high risk for alpha-gal syndrome.

Source Verified

Metformin Hydrochloride Tablets USP

May Contain

Amneal Pharmaceuticals NY LLC

Metformin tablets contain magnesium stearate of unspecified origin, which may be derived from mammalian stearic acid.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg

Inactive Ingredients

colloidal silicon dioxide, hypromellose, magnesium stearate, povidone

Contains magnesium stearate where the package insert does not specify whether it is derived from vegetable or animal sources.

Source Verified

Losartan Potassium Tablets USP

Contains Mammalian

Camber Pharmaceuticals, Inc.

Losartan Potassium tablets contain bovine-derived lactose monohydrate and magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine milk origin), magnesium stearate (source unspecified)

Active Ingredients

Losartan Potassium 50 mg

Inactive Ingredients

microcrystalline cellulose, lactose monohydrate, pregelatinized starch, magnesium stearate, hydroxypropyl cellulose, hypromellose, and titanium dioxide

Lactose monohydrate is derived from bovine milk; while purified, it poses risk to individuals who react to mammalian milk components.

Source Verified

Gabapentin Capsules USP

Contains Mammalian

Aurobindo Pharma Limited

Gabapentin capsules have a gelatin shell derived from mammalian collagen, presenting high risk for alpha-gal syndrome.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine/bovine)

Active Ingredients

Gabapentin 300 mg

Inactive Ingredients

corn starch, mannitol, talc; capsule shell: gelatin, titanium dioxide, yellow iron oxide; imprinting ink: shellac, dehydrated alcohol, isopropyl alcohol, butyl alcohol, propylene glycol, strong ammonia solution, black iron oxide, potassium hydroxide

The capsule shell is composed of gelatin sourced from bovine or porcine tissue, which has known alpha-gal epitope presence.

Source Verified

Tirosint-SOL (Levothyroxine Sodium Oral Solution)

Mammalian-Free

IBSA Pharma Inc.

Tirosint-SOL oral solution contains no mammalian-derived excipients and is a recognized mammalian-free option for thyroid hormone therapy.

Alpha-Gal Risklow

Active Ingredients

Levothyroxine Sodium 100 mcg/mL

Inactive Ingredients

glycerol (plant-derived/synthetic), purified water

Tirosint-SOL contains solely levothyroxine sodium, water, and non-mammalian vegetable glycerol, explicitly formulated without gelatin, lactose, or animal-derived stearates.

Source Verified

Creon (Pancrelipase Delayed-Release Capsules)

Contains Mammalian

AbbVie Inc.

Creon contains porcine-derived enzymes and a gelatin capsule, creating a high risk of alpha-gal-induced allergic reactions.

Alpha-Gal Riskhigh

Mammalian Ingredients

pancrelipase (porcine pancreas extract), gelatin (porcine/bovine)

Active Ingredients

Pancrelipase (Lipase 36,000 USP units, Protease 114,000 USP units, Amylase 180,000 USP units)

Inactive Ingredients

cetyl alcohol, dimethicone, hypromellose phthalate, polyethylene glycol, triethyl citrate; capsule shell: gelatin, titanium dioxide, iron oxides, sodium lauryl sulfate

The active enzymes are derived from porcine pancreatic tissue, and the capsule shell contains mammalian gelatin, leading to high exposure to alpha-gal epitopes.

Source Verified

Fluzone Quadrivalent (Influenza Vaccine)

Mammalian-Free

Sanofi Pasteur Inc.

Fluzone Quadrivalent is propagated in avian systems and does not contain gelatin or mammalian-derived ingredients.

Alpha-Gal Risklow

Active Ingredients

Inactivated influenza hemagglutinin antigens (strains A and B)

Inactive Ingredients

sodium phosphate-buffered isotonic sodium chloride solution, formaldehyde, octylphenol ethoxylate (Triton X-100), gelatin (none)

Fluzone Quadrivalent is produced in embryonated chicken eggs and contains no gelatin, mammalian cell substrates, or mammalian excipients.

Source Verified

Prilosec OTC (Omeprazole Delayed-Release Tablets)

May Contain

Procter & Gamble

Prilosec OTC contains stearate-based inactive ingredients that may be animal-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

glyceryl monostearate (source unspecified), magnesium stearate (source unspecified), sodium stearyl fumarate (source unspecified)

Active Ingredients

Omeprazole magnesium 20.6 mg

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, iron oxide, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol 6000, polysorbate 80, polyvinylpyrrolidone, sodium stearyl fumarate, starch, sucrose, talc, titanium dioxide, triethyl citrate

Contains multiple stearate derivatives (glyceryl monostearate, magnesium stearate) whose fatty acid origins are not specified as vegetable.

Source Verified

M-M-R II

Contains Mammalian

Merck Sharp & Dohme LLC

M-M-R II vaccine contains porcine hydrolyzed gelatin as an excipient, presenting a recognized high risk for alpha-gal anaphylaxis.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed gelatin (porcine), fetal bovine serum

Active Ingredients

Measles, Mumps, and Rubella Virus Vaccine Live

Inactive Ingredients

sorbitol, sodium phosphate, potassium phosphate, sucrose, sodium chloride, hydrolyzed gelatin, recombinant human albumin, fetal bovine serum, neomycin

Contains porcine hydrolyzed gelatin as a stabilizer and residual fetal bovine serum, recognized by the CDC as known alpha-gal triggers in sensitive patients.

Source Verified

Zyrtec (Cetirizine Hydrochloride Tablets)

May Contain

Johnson & Johnson Consumer Inc.

Zyrtec tablets contain bovine-derived lactose monohydrate and unverified magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine milk derived), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine hydrochloride 10 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Contains lactose monohydrate derived from cow's milk and magnesium stearate of unspecified origin.

Source Verified

Prilosec Delayed-Release Capsules

May Contain

Covis Pharma US, Inc.

Prilosec delayed-release capsules contain an animal gelatin shell and multiple fatty acid stearate excipients.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (unspecified mammalian source), magnesium stearate (source unspecified), glyceryl monostearate (source unspecified)

Active Ingredients

Omeprazole magnesium equivalent to 10 mg, 20 mg, or 40 mg omeprazole

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol, polysorbate 80, crospovidone, sodium stearyl fumarate, sugar spheres, talc, titanium dioxide, triethyl citrate, gelatin capsule shell

Capsule shells contain gelatin derived from unspecified animal sources, along with stearate derivatives.

Source Verified

Neurontin Capsules (Gabapentin)

Contains Mammalian

Viatris Specialty LLC

Neurontin capsules contain mammalian-derived gelatin shells and bovine lactose monohydrate.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (unspecified mammalian source), lactose monohydrate (bovine milk derived)

Active Ingredients

Gabapentin 100 mg, 300 mg, or 400 mg

Inactive Ingredients

lactose monohydrate, cornstarch, talc, gelatin, titanium dioxide, sodium lauryl sulfate, yellow iron oxide, red iron oxide

Contains hard gelatin capsule shells derived from mammalian tissues along with bovine lactose monohydrate.

Source Verified

Amoxicillin Tablets (Aurobindo)

May Contain

Aurobindo Pharma Limited

Aurobindo Amoxicillin tablets avoid gelatin shells but contain magnesium stearate of unconfirmed origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Amoxicillin trihydrate equivalent to 875 mg amoxicillin

Inactive Ingredients

crospovidone, magnesium stearate, microcrystalline cellulose, ethylcellulose, hypromellose, triethyl citrate, titanium dioxide, talc

Tablets do not contain gelatin shells but contain magnesium stearate of unspecified origin.

Source Verified

Cetirizine Hydrochloride Tablets (Apotex)

May Contain

Apotex Corp.

Generic cetirizine tablets contain bovine lactose monohydrate and magnesium stearate of unstated origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine milk derived), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine hydrochloride 10 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Formulation includes bovine milk-derived lactose monohydrate and magnesium stearate without a specified origin.

Source Verified

Metformin Hydrochloride Tablets (Ascend Laboratories)

May Contain

Ascend Laboratories, LLC

Ascend Metformin tablets contain magnesium stearate of unconfirmed origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin hydrochloride 500 mg, 850 mg, or 1000 mg

Inactive Ingredients

povidone, magnesium stearate, hypromellose, polyethylene glycol

Contains magnesium stearate where the source (bovine tallow vs. plant oil) is not stated on the official FDA label.

Source Verified

Claritin RediTabs

May Contain

Bayer HealthCare LLC

Claritin RediTabs contain gelatin as a disintegrating matrix excipient, creating high alpha-gal risk.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (unspecified mammalian source)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

anhydrous citric acid, gelatin, mannitol, mint flavor

Claritin RediTabs orally disintegrating tablets use gelatin as a primary structural matrix, presenting a high risk for alpha-gal allergic reactions.

Source Verified

Gabapentin Tablets (Ascend Laboratories)

May Contain

Ascend Laboratories, LLC

Gabapentin film-coated tablets eliminate gelatin and lactose but contain magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Gabapentin 600 mg or 800 mg

Inactive Ingredients

copovidone, poloxamer 407, microcrystalline cellulose, hydroxypropyl cellulose, magnesium stearate, talc

Gelatin-free and lactose-free tablet formulation, but contains magnesium stearate with unconfirmed source.

Source Verified

Claritin 24 Hour Allergy (Loratadine Tablets)

May Contain

Bayer HealthCare LLC

Formulated with bovine-derived lactose monohydrate and magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate

Contains lactose monohydrate derived from cow's milk as a primary filler, alongside magnesium stearate whose fatty acid source is unspecified.

Source Verified

Glucophage (Metformin Hydrochloride Tablets)

May Contain

EMD Serono, Inc.

Contains magnesium stearate of unspecified origin in an otherwise synthetic and vegetable-based polymer tablet.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin hydrochloride 500 mg, 850 mg, 1000 mg

Inactive Ingredients

hypromellose, magnesium stearate, polyethylene glycol, povidone

The inactive ingredient magnesium stearate is unspecified with respect to animal or plant origin, which poses a potential exposure risk.

Source Verified

Zyrtec Allergy (Cetirizine Hydrochloride Tablets)

May Contain

Johnson & Johnson Consumer Inc.

Tablet core includes bovine lactose monohydrate and unverified magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine HCl 10 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Contains lactose monohydrate sourced from cow's milk and magnesium stearate of undetermined origin.

Source Verified

Lipitor (Atorvastatin Calcium Tablets)

May Contain

Pfizer Laboratories Div Pfizer Inc

Contains lactose monohydrate and magnesium stearate without explicit plant confirmation.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), lactose monohydrate (bovine milk)

Active Ingredients

Atorvastatin Calcium 10 mg, 20 mg, 40 mg, 80 mg

Inactive Ingredients

calcium carbonate, candelilla wax, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, Opadry White YS-1-7040, polysorbate 80, simethicone emulsion

Formulation includes bovine milk-derived lactose monohydrate and magnesium stearate of unspecified origin.

Source Verified

Synthroid (Levothyroxine Sodium Tablets)

May Contain

AbbVie Inc.

Contains lactose monohydrate and magnesium stearate with unspecified sourcing, presenting moderate risk.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), lactose monohydrate (bovine milk)

Active Ingredients

Levothyroxine Sodium 25 mcg to 300 mcg

Inactive Ingredients

acacia, confectioner's sugar (contains corn starch), lactose monohydrate, magnesium stearate, povidone, talc, color additives

Contains magnesium stearate of unspecified origin which may be tallow-derived, and bovine milk-derived lactose monohydrate.

Source Verified

Prilosec (Omeprazole Delayed-Release Capsules)

Contains Mammalian

Covis Pharma US, Inc.

Hard gelatin capsule shell presents high risk for alpha-gal allergy.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian-derived), lactose (bovine milk), magnesium stearate (source unspecified)

Active Ingredients

Omeprazole 10 mg, 20 mg, 40 mg

Inactive Ingredients

crospovidone, dibasic sodium phosphate, hydroxypropyl cellulose, hypromellose, lactose, magnesium stearate, mannitol, methacrylic acid copolymer, microcrystalline cellulose, polyethylene glycol, polysorbate 80, sodium lauryl sulfate, synthetic iron oxide, titanium dioxide, gelatin

Capsule shell contains mammalian gelatin along with bovine lactose and magnesium stearate.

Source Verified

Cozaar (Losartan Potassium Tablets)

May Contain

Organon LLC

Formulation includes lactose and unspecified magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), lactose hydrous (bovine milk)

Active Ingredients

Losartan Potassium 25 mg, 50 mg, 100 mg

Inactive Ingredients

microcrystalline cellulose, lactose hydrous, pregelatinized starch, magnesium stearate, hydroxypropyl cellulose, hypromellose, titanium dioxide, D&C yellow No. 10 aluminum lake, FD&C blue No. 2/indigo carmine aluminum lake, carnauba wax

Contains hydrous lactose from bovine dairy and magnesium stearate without defined origin.

Source Verified

Losartan Potassium Tablets (Torrent)

May Contain

Torrent Pharmaceuticals Limited

Includes bovine lactose and magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), lactose monohydrate (bovine milk)

Active Ingredients

Losartan Potassium 25 mg, 50 mg, 100 mg

Inactive Ingredients

microcrystalline cellulose, lactose monohydrate, pregelatinized starch, magnesium stearate, hydroxypropyl cellulose, hypromellose, titanium dioxide, talc

Contains lactose monohydrate and magnesium stearate without specification of plant origin.

Source Verified

Metformin Hydrochloride Extended-Release Tablets (Teva)

May Contain

Teva Pharmaceuticals USA, Inc.

Contains magnesium stearate without explicit plant-derived sourcing.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg, 750 mg

Inactive Ingredients

hypromellose, microcrystalline cellulose, magnesium stearate

Magnesium stearate source is not specified on the label.

Source Verified

Tirosint (Levothyroxine Sodium Capsules)

Contains Mammalian

IBSA Pharma Inc.

Encapsulated in mammalian gelatin, presenting high alpha-gal risk.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine)

Active Ingredients

Levothyroxine Sodium 13 mcg to 200 mcg

Inactive Ingredients

gelatin, glycerin, water

The soft capsule shell contains porcine-derived gelatin and glycerin, both of which are common triggers in AGS patients.

Source Verified

Atorvastatin Calcium Tablets (Aurobindo)

May Contain

Aurobindo Pharma Limited

Contains lactose monohydrate and magnesium stearate of unspecified derivation.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), lactose monohydrate (bovine milk)

Active Ingredients

Atorvastatin Calcium 10 mg, 20 mg, 40 mg, 80 mg

Inactive Ingredients

calcium carbonate, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polysorbate 80, hypromellose, polyethylene glycol 8000, titanium dioxide, talc

Contains magnesium stearate of unspecified origin along with bovine-derived lactose monohydrate.

Source Verified

Amoxicillin Capsules (Sandoz)

Contains Mammalian

Sandoz Inc.

Encapsulated in gelatin, posing high risk to sensitized individuals.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian-derived), magnesium stearate (source unspecified)

Active Ingredients

Amoxicillin Trihydrate 250 mg, 500 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, microcrystalline cellulose, D&C Red No. 28, D&C Yellow No. 10, FD&C Blue No. 1, gelatin, titanium dioxide

Hard capsule shells contain mammalian gelatin and unspecified magnesium stearate.

Source Verified

Gabapentin Tablets (Glenmark)

May Contain

Glenmark Pharmaceuticals Inc., USA

Gelatin-free tablet alternative that still contains magnesium stearate of unspecified derivation.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Gabapentin 600 mg, 800 mg

Inactive Ingredients

poloxamer 407, copovidone, corn starch, magnesium stearate, hydroxypropyl cellulose, talc, hypromellose, polyethylene glycol, candelilla wax

Solid tablet avoids gelatin and lactose but contains magnesium stearate of unspecified origin.

Source Verified

Valacyclovir Hydrochloride Tablets

Mammalian-Free

Watson Laboratories, Inc.

This formulation does not contain gelatin or other common mammalian-derived excipients.

Alpha-Gal Risklow

Active Ingredients

Valacyclovir hydrochloride

Inactive Ingredients

croscarmellose sodium, FD&C Blue #2, hydrogenated castor oil, hypromellose, polyethylene glycol, polysorbate 80, starch (corn), and titanium dioxide

The listed inactive ingredients are synthetic, plant-derived, or mineral-based, with no identified mammalian components.

Source Verified

Singulair Tablets

Contains Mammalian

Organon

Contains bovine-derived lactose and potentially animal-derived magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine); magnesium stearate (unspecified)

Active Ingredients

Montelukast Sodium

Inactive Ingredients

lactose monohydrate (bovine); magnesium stearate (unspecified)

Contains bovine-derived lactose and potentially animal-derived magnesium stearate.

Source Verified

Creon

Contains Mammalian

AbbVie

The active ingredient is directly derived from porcine (pig) pancreatic glands.

Alpha-Gal Riskhigh

Mammalian Ingredients

porcine pancrelipase (enzyme tissue)

Active Ingredients

Pancrelipase

Inactive Ingredients

porcine pancrelipase (enzyme tissue)

The active ingredient is directly derived from porcine (pig) pancreatic glands.

Source Verified

Motrin IB

May Contain

Kenvue

Tablet coating/binder includes unspecified magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (unspecified)

Active Ingredients

Ibuprofen 200mg

Inactive Ingredients

magnesium stearate (unspecified)

Tablet coating/binder includes unspecified magnesium stearate.

Source Verified

Tylenol Extra Strength

May Contain

Kenvue

Contains magnesium stearate with no specified source; animal origin cannot be excluded.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (unspecified)

Active Ingredients

Acetaminophen 500mg

Inactive Ingredients

magnesium stearate (unspecified)

Contains magnesium stearate with no specified source; animal origin cannot be excluded.

Source Verified

Flonase Allergy Relief

Mammalian-Free

GSK

Inactive ingredients are verified as synthetic or plant-derived.

Alpha-Gal Risklow

Active Ingredients

Fluticasone Propionate

Inactive Ingredients

none

Inactive ingredients are verified as synthetic or plant-derived.

Source Verified

Advair Diskus

Contains Mammalian

GSK

Specifically states it contains milk proteins, which are mammalian-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (contains milk proteins)

Active Ingredients

Fluticasone/Salmeterol

Inactive Ingredients

lactose monohydrate (contains milk proteins)

Specifically states it contains milk proteins, which are mammalian-derived.

Source Verified

Losartan Tablets

Contains Mammalian

Novadoz

Contains bovine lactose and unspecified magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine); magnesium stearate (unspecified)

Active Ingredients

Losartan Potassium

Inactive Ingredients

lactose monohydrate (bovine); magnesium stearate (unspecified)

Contains bovine lactose and unspecified magnesium stearate.

Source Verified

Metformin Tablets

May Contain

Teva

The source of the magnesium stearate excipient is not specified.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (unspecified)

Active Ingredients

Metformin HCl 500mg

Inactive Ingredients

magnesium stearate (unspecified)

The source of the magnesium stearate excipient is not specified.

Source Verified

Nexium 24HR

Contains Mammalian

AstraZeneca

Capsule shells are mammalian gelatin; magnesium stearate source is unclear.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian-derived); magnesium stearate (unspecified)

Active Ingredients

Esomeprazole 20mg

Inactive Ingredients

gelatin (mammalian-derived); magnesium stearate (unspecified)

Capsule shells are mammalian gelatin; magnesium stearate source is unclear.

Source Verified

Heparin Sodium

Contains Mammalian

Pfizer

Heparin is manufactured from pig intestines; it is a direct mammalian tissue product.

Alpha-Gal Riskhigh

Mammalian Ingredients

porcine intestinal mucosa

Active Ingredients

Heparin Sodium

Inactive Ingredients

porcine intestinal mucosa

Heparin is manufactured from pig intestines; it is a direct mammalian tissue product.

Source Verified

Aleve Caplets

May Contain

Bayer

Contains stearic acid which may be animal or vegetable-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

stearic acid (unspecified source)

Active Ingredients

Naproxen Sodium

Inactive Ingredients

stearic acid (unspecified source)

Contains stearic acid which may be animal or vegetable-derived.

Source Verified

Mucinex DM

May Contain

Reckitt

Magnesium stearate source is not specified as mammalian-free.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (unspecified)

Active Ingredients

Guaifenesin/Dextromethorphan

Inactive Ingredients

magnesium stearate (unspecified)

Magnesium stearate source is not specified as mammalian-free.

Source Verified

Colace Clear

Contains Mammalian

Atlantis

Softgel shell contains gelatin; glycerin source is also unspecified.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian-derived); glycerin (unspecified)

Active Ingredients

Docusate Sodium 50mg

Inactive Ingredients

gelatin (mammalian-derived); glycerin (unspecified)

Softgel shell contains gelatin; glycerin source is also unspecified.

Source Verified

Zoloft Tablets

May Contain

Viatris

The magnesium stearate source is not listed as vegetable-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (unspecified)

Active Ingredients

Sertraline HCl 50mg

Inactive Ingredients

magnesium stearate (unspecified)

The magnesium stearate source is not listed as vegetable-derived.

Source Verified

Pepcid AC Tablets

May Contain

Kenvue (McNeil Consumer Healthcare)

The formulation includes magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Famotidine 10 mg

Inactive Ingredients

carnauba wax, corn starch, hydroxypropyl cellulose, hypromellose, magnesium stearate, microcrystalline cellulose, red iron oxide, talc, titanium dioxide

Contains magnesium stearate, which is a potential mammalian-derived ingredient.

Source Verified

Benadryl Allergy Dye-Free Liqui-Gels

Contains Mammalian

Kenvue (McNeil Consumer Healthcare)

Contains gelatin in the softgel capsule shell.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (source unspecified), glycerin (source unspecified)

Active Ingredients

Diphenhydramine HCl 25 mg

Inactive Ingredients

gelatin, glycerin, polyethylene glycol, purified water, sorbitol sorbitan solution

The softgel capsule is made of gelatin, a high-risk mammalian byproduct.

Source Verified

Miralax Powder

Mammalian-Free

Bayer HealthCare LLC

The product is a pure synthetic polymer with no mammalian-derived ingredients.

Alpha-Gal Risklow

Active Ingredients

Polyethylene Glycol 3350

Inactive Ingredients

none

Contains only Polyethylene Glycol 3350, which is a synthetic polymer and not mammalian-derived.

Source Verified

Tylenol PM Extra Strength

May Contain

Kenvue (McNeil Consumer Healthcare)

Contains stearate and stearic acid of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), stearic acid (source unspecified)

Active Ingredients

Acetaminophen 500 mg, Diphenhydramine HCl 25 mg

Inactive Ingredients

carnauba wax, crospovidone, FD&C blue no. 1 aluminum lake, hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate 80, povidone, pregelatinized starch, sodium starch glycolate, stearic acid, titanium dioxide

Contains magnesium stearate and stearic acid, both of which are potential mammalian-derived triggers.

Source Verified

Allegra 24HR Tablets

May Contain

Sanofi-Aventis U.S. LLC

The tablet contains magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Fexofenadine HCl 180 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, povidone, pregelatinized starch, titanium dioxide

Contains magnesium stearate, which may be derived from mammalian sources.

Source Verified

Advil Dual Action

May Contain

Haleon (GlaxoSmithKline)

The tablet contains magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Acetaminophen 250 mg, Ibuprofen 125 mg

Inactive Ingredients

carnauba wax, croscarmellose sodium, FD&C blue no. 2 aluminum lake, hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, povidone, pregelatinized starch, titanium dioxide

Contains magnesium stearate, which may be mammalian-derived.

Source Verified

Levothyroxine Sodium Tablets (Generic)

Contains Mammalian

Viatris (Mylan Pharmaceuticals Inc.)

The generic formulation includes bovine-derived lactose and potentially mammalian magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium (various strengths)

Inactive Ingredients

butylated hydroxyanisole, colloidal silicon dioxide, crospovidone, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate

Contains bovine-derived lactose and magnesium stearate of unspecified origin.

Source Verified

Claritin (Loratadine) 24 Hour Tablets

Contains Mammalian

Bayer HealthCare

Contains bovine-derived lactose.

Alpha-Gal Riskmoderate

Mammalian Ingredients

Lactose monohydrate (bovine milk), Magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10mg

Inactive Ingredients

Corn starch, lactose monohydrate, magnesium stearate.

Lactose is bovine milk-derived.

Source Verified

Singulair (Montelukast) Tablets

Contains Mammalian

Organon LLC

Positive for bovine lactose.

Alpha-Gal Riskmoderate

Mammalian Ingredients

Lactose monohydrate (bovine milk), Magnesium stearate (source unspecified)

Active Ingredients

Montelukast sodium 10mg

Inactive Ingredients

Microcrystalline cellulose, lactose monohydrate, croscarmellose sodium, hydroxypropyl cellulose, magnesium stearate.

Contains bovine milk derivative (lactose).

Source Verified

Prilosec OTC (Omeprazole Magnesium) Delayed-Release Tablets

May Contain

Procter & Gamble

Multiple excipients lack source verification and may be mammalian-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

Glyceryl monostearate (unspecified), Magnesium stearate (unspecified)

Active Ingredients

Omeprazole Magnesium 20.6mg

Inactive Ingredients

Glyceryl monostearate, hydroxypropyl cellulose, hypromellose, iron oxide, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol, polysorbate 80, crospovidone, sodium stearyl fumarate, sucrose, talc, titanium dioxide, triethyl citrate.

Glyceryl monostearate and magnesium stearate can both be derived from animal tallow.

Source Verified

Advil Liqui-Gels (Softgel)

Contains Mammalian

GlaxoSmithKline (GSK) Consumer Healthcare

Softgels contain mammalian gelatin, presenting a high risk for AGS patients.

Alpha-Gal Riskhigh

Mammalian Ingredients

Gelatin (source usually porcine or bovine)

Active Ingredients

Solubilized ibuprofen equal to 200mg ibuprofen

Inactive Ingredients

FD&C blue no. 1, gelatin, pharmaceutical ink, polyethylene glycol, potassium hydroxide, purified water, sorbitan, sorbitol.

Gelatin is a direct derivative of mammalian (pork/beef) collagen and is a known trigger for Alpha-Gal reactions.

Source Verified

Lipitor (Atorvastatin) Tablets

Contains Mammalian

Viatris / Parke-Davis (Division of Pfizer)

Confirmed bovine-derived lactose present in the formulation.

Alpha-Gal Riskmoderate

Mammalian Ingredients

Lactose monohydrate (bovine milk), Magnesium stearate (source unspecified)

Active Ingredients

Atorvastatin Calcium 10mg

Inactive Ingredients

Calcium carbonate, candelilla wax, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, Opadry White YS-1-7040, polysorbate 80, simethicone emulsion.

Lactose is a bovine milk product. Sensitive AGS patients may react to mammalian milk derivatives.

Source Verified

Shingrix (Zoster Vaccine Recombinant)

Mammalian-Free

GlaxoSmithKline

Does not contain mammalian-derived excipients like gelatin.

Alpha-Gal Risklow

Active Ingredients

Recombinant glycoprotein E

Inactive Ingredients

Sucrose, sodium chloride, DOPC, cholesterol, sodium dihydrogen phosphate dihydrate, disodium phosphate anhydrous, potassium dihydrogen phosphate, polysorbate 80.

Shingrix is recombinant and does not contain mammalian gelatin, unlike many other live vaccines.

Source Verified

Benadryl Dye-Free Liqui-Gels

Contains Mammalian

Johnson & Johnson Consumer Inc.

High risk due to gelatin capsule.

Alpha-Gal Riskhigh

Mammalian Ingredients

Gelatin (mammalian), Glycerin (source unspecified)

Active Ingredients

Diphenhydramine HCl 25mg

Inactive Ingredients

Gelatin, glycerin, polyethylene glycol, purified water, sorbitol sorbitan solution.

High risk due to mammalian gelatin used for the liquid capsule shell.

Source Verified

Lexapro (Escitalopram) Tablets

May Contain

AbbVie Inc.

Risk is limited to unspecified magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

Magnesium stearate (source unspecified)

Active Ingredients

Escitalopram oxalate 10mg

Inactive Ingredients

Talc, croscarmellose sodium, microcrystalline cellulose, magnesium stearate, colloidal silicon dioxide, hypromellose, titanium dioxide, polyethylene glycol.

Lacks lactose but contains magnesium stearate of unspecified origin.

Source Verified

Varivax (Varicella Virus Vaccine Live)

Contains Mammalian

Merck Sharp & Dohme Corp.

High risk due to gelatin and fetal bovine serum.

Alpha-Gal Riskhigh

Mammalian Ingredients

Hydrolyzed gelatin (porcine/bovine), Fetal bovine serum

Active Ingredients

Varicella Virus Live

Inactive Ingredients

Sucrose, hydrolyzed gelatin, sodium chloride, monosodium L-glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, fetal bovine serum, human albumin.

Hydrolyzed gelatin is a confirmed high-risk ingredient for alpha-gal allergic reactions.

Source Verified

Crestor (Rosuvastatin) Tablets

Contains Mammalian

AstraZeneca Pharmaceuticals

Contains bovine milk derivative (lactose).

Alpha-Gal Riskmoderate

Mammalian Ingredients

Lactose monohydrate (bovine milk), Magnesium stearate (source unspecified)

Active Ingredients

Rosuvastatin Calcium 10mg

Inactive Ingredients

Microcrystalline cellulose, lactose monohydrate, tribasic calcium phosphate, crospovidone, magnesium stearate, hypromellose, triacetin, titanium dioxide, yellow ferric oxide.

Presence of bovine-derived lactose.

Source Verified

Zoloft (Sertraline) Tablets

May Contain

Viatris / Roerig (Division of Pfizer)

Mammalian status is unconfirmed due to magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

Magnesium stearate (source unspecified)

Active Ingredients

Sertraline HCl 50mg

Inactive Ingredients

Dibasic calcium phosphate dihydrate, hydroxypropyl cellulose, microcrystalline cellulose, magnesium stearate, sodium starch glycolate, hypromellose, polyethylene glycol, polysorbate 80, titanium dioxide.

No lactose or gelatin, but magnesium stearate source is not specified.

Source Verified

Nexium (Esomeprazole Magnesium) Delayed-Release Capsules

Contains Mammalian

AstraZeneca Pharmaceuticals

High risk due to gelatin capsule.

Alpha-Gal Riskhigh

Mammalian Ingredients

Gelatin (capsule shell), Magnesium stearate (unspecified), Glyceryl monostearate (unspecified)

Active Ingredients

Esomeprazole Magnesium 40mg

Inactive Ingredients

Glyceryl monostearate, hydroxypropyl cellulose, hypromellose, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol, polysorbate 80, crospovidone, sodium stearyl fumarate, sucrose, talc, titanium dioxide, triethyl citrate, gelatin.

The use of gelatin for the capsule shell presents a high risk for AGS patients.

Source Verified

Loratadine Tablets (Claritin)

May Contain

Bayer

Contains magnesium stearate and lactose, which may pose a risk to individuals with Alpha-gal Syndrome depending on the source.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate, povidone

Contains magnesium stearate, which may be derived from mammalian sources, and lactose, which is a dairy product that may contain trace alpha-gal.

Source Verified

Cetirizine Hydrochloride Tablets (Zyrtec)

May Contain

Johnson & Johnson

Contains magnesium stearate and lactose, both of which may be mammalian-derived and pose a risk for those with Alpha-gal Syndrome.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), lactose monohydrate (bovine-derived)

Active Ingredients

Cetirizine HCl 10 mg

Inactive Ingredients

colloidal silicon dioxide, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Contains magnesium stearate of unknown origin and lactose, which is derived from cow's milk and may contain alpha-gal.

Source Verified

Pepcid AC

May Contain

Johnson & Johnson Consumer Inc.

Pepcid AC contains magnesium stearate, which is a potential mammalian derivative.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Famotidine 10 mg

Inactive Ingredients

carnauba wax, hydroxypropyl cellulose, hypromellose, magnesium stearate, microcrystalline cellulose, pregelatinized starch, talc, titanium dioxide

Contains magnesium stearate, which may be derived from mammalian tallow.

Source Verified

ProAir HFA

Mammalian-Free

Teva Respiratory, LLC

ProAir HFA is free of mammalian-derived inactive ingredients.

Alpha-Gal Risklow

Active Ingredients

Albuterol Sulfate 90 mcg

Inactive Ingredients

ethanol, propellant HFA-134a (1,1,1,2-tetrafluoroethane)

Contains only synthetic propellant and ethanol; no mammalian-derived excipients are listed.

Source Verified

Allegra Allergy 24HR

May Contain

Chattem, Inc.

Allegra tablets contain magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Fexofenadine HCl 180 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, povidone, pregelatinized starch, titanium dioxide

Contains magnesium stearate, which is a potential mammalian derivative.

Source Verified

Nexium

May Contain

AstraZeneca LP

Nexium contains stearate-based excipients that may be mammalian-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), glyceryl monostearate (source unspecified)

Active Ingredients

Esomeprazole Magnesium (20 mg, 40 mg)

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol, polysorbate 80, crospovidone, sodium stearyl fumarate, sugar spheres (sucrose and corn starch), talc, titanium dioxide, triethyl citrate

Contains multiple stearate derivatives that are often sourced from animal fats.

Source Verified

Neurontin (Gabapentin) Capsules

Contains Mammalian

Pfizer Inc.

Contains gelatin and lactose, both of which are mammalian-derived.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (capsule shell), lactose monohydrate (bovine milk)

Active Ingredients

Gabapentin (100 mg, 300 mg, 400 mg)

Inactive Ingredients

lactose monohydrate, cornstarch, talc, gelatin, titanium dioxide, FD&C Blue No. 2

The presence of gelatin in the capsule shell poses a high risk for alpha-gal reactions.

Source Verified

Tylenol Extra Strength Gelcaps

May Contain

Kenvue Brands LLC

This product contains multiple excipients (gelatin and magnesium stearate) that are commonly derived from mammals and may pose a risk to those with Alpha-gal Syndrome.

Alpha-Gal Riskmoderate

Mammalian Ingredients

gelatin (source unspecified), magnesium stearate (source unspecified)

Active Ingredients

Acetaminophen 500 mg

Inactive Ingredients

benzyl alcohol, butylparaben, carboxymethylcellulose sodium, D&C yellow no. 10, edetate calcium disodium, FD&C blue no. 1, FD&C red no. 40, gelatin, hypromellose, ferrosoferric oxide, magnesium stearate, methylparaben, polyethylene glycol, polysorbate 80

Contains gelatin and magnesium stearate, both of which can be derived from mammalian sources and are considered potential triggers for Alpha-gal Syndrome.

Source Verified

MMR Vaccine (M-M-R II)

Contains Mammalian

Merck & Co., Inc.

The MMR vaccine contains gelatin and bovine-derived components, which are high-risk for individuals with alpha-gal syndrome.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed gelatin (porcine), fetal bovine serum

Active Ingredients

Live virus (measles, mumps, rubella)

Inactive Ingredients

sorbitol, sodium phosphate, sucrose, sodium chloride, hydrolyzed gelatin, recombinant human albumin, fetal bovine serum, neomycin

Contains hydrolyzed gelatin and fetal bovine serum, both of which are mammalian-derived and known to contain alpha-gal.

Source Verified

MMR II (Measles, Mumps, and Rubella Vaccine)

Contains Mammalian

Merck & Co., Inc.

The MMR II vaccine contains hydrolyzed gelatin and fetal bovine serum, which are mammalian-derived components that pose a risk for those with alpha-gal syndrome.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed gelatin (porcine), fetal bovine serum

Active Ingredients

Live attenuated measles, mumps, and rubella viruses

Inactive Ingredients

Sorbitol, sucrose, hydrolyzed gelatin, recombinant human albumin, fetal bovine serum, neomycin

Contains hydrolyzed gelatin and fetal bovine serum, both of which are mammalian-derived and known to contain alpha-gal epitopes.

Source Verified

Creon Delayed-Release Capsules

Contains Mammalian

AbbVie Inc.

Both the active enzyme and the capsule shell are porcine-derived, posing a high risk.

Alpha-Gal Riskhigh

Mammalian Ingredients

pancrelipase (porcine), gelatin (capsule shell)

Active Ingredients

Pancrelipase (Lipase, Protease, Amylase)

Inactive Ingredients

cetyl alcohol, dimethicone, hypromellose phthalate, magnesium stearate, polyethylene glycol, gelatin, iron oxide, titanium dioxide

Pancrelipase is derived from porcine pancreatic glands; the capsule also contains gelatin.

Source Verified

Metformin HCl Tablets

May Contain

Teva Pharmaceuticals USA, Inc.

Unspecified magnesium stearate source makes this a moderate risk for alpha-gal syndrome.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg

Inactive Ingredients

povidone, magnesium stearate, hypromellose, polyethylene glycol

Contains magnesium stearate without a specified plant-derived source.

Source Verified

Benadryl Ultratabs

May Contain

Johnson & Johnson Consumer Inc.

The presence of unspecified magnesium stearate poses a moderate risk for AGS.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Diphenhydramine HCl 25 mg

Inactive Ingredients

carnauba wax, croscarmellose sodium, D&C red no. 27 aluminum lake, dibasic calcium phosphate, hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate 80, titanium dioxide

Contains magnesium stearate which may be animal-derived.

Source Verified

Advil Tablets (Coated)

May Contain

Haleon

Unspecified stearic acid source makes this a moderate risk compared to the high-risk Liqui-Gels.

Alpha-Gal Riskmoderate

Mammalian Ingredients

stearic acid (source unspecified), white wax (beeswax)

Active Ingredients

Ibuprofen 200 mg

Inactive Ingredients

acetylation monoglycerides, colloidal silicon dioxide, corn starch, croscarmellose sodium, methylparaben, microcrystalline cellulose, pharmaceutical glaze, pharmaceutical ink, povidone, pregelatinized starch, propylparaben, sodium benzoate, sodium lauryl sulfate, stearic acid, sucrose, titanium dioxide, white wax

Contains stearic acid of unspecified origin and white wax (beeswax). While beeswax is generally safe, stearic acid can be mammalian-derived.

Source Verified

Zyrtec Tablets

Contains Mammalian

Johnson & Johnson Consumer Inc.

Lactose and unspecified magnesium stearate are present, posing a moderate risk for AGS.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (dairy), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine HCl 10 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Contains lactose from mammalian milk and magnesium stearate of unspecified origin.

Source Verified

Colace Capsules

Contains Mammalian

Avrio Health L.P.

Confirmed porcine gelatin content makes this a high-risk product for AGS patients.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine), glycerin (source unspecified)

Active Ingredients

Docusate Sodium 100 mg

Inactive Ingredients

D&C Red No. 33, FD&C Blue No. 1, FD&C Red No. 40, FD&C Yellow No. 6, gelatin, glycerin, polyethylene glycol 400, propylene glycol, sorbitol, titanium dioxide

Manufacturer has confirmed the gelatin is sourced from pigs; glycerin source is unspecified but often mammalian.

Source Verified

Heparin Sodium Injection

Contains Mammalian

Pfizer Inc.

Heparin is a biological product derived from pigs and is a known high-risk trigger for AGS.

Alpha-Gal Riskhigh

Mammalian Ingredients

heparin sodium (porcine intestinal mucosa)

Active Ingredients

Heparin Sodium 1,000 USP units/mL

Inactive Ingredients

sodium chloride, benzyl alcohol, water for injection, sodium hydroxide and/or hydrochloric acid

The active ingredient itself is derived from porcine (pig) intestinal mucosa, which contains alpha-gal.

Source Verified

M-M-R II (Measles, Mumps, and Rubella Virus Vaccine Live)

Contains Mammalian

Merck & Co., Inc.

The vaccine contains porcine-derived gelatin and fetal bovine serum, which are high-risk mammalian-derived ingredients.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (porcine), hydrolyzed gelatin (porcine), fetal bovine serum

Active Ingredients

Live attenuated measles, mumps, and rubella viruses

Inactive Ingredients

gelatin, sorbitol, hydrolyzed gelatin, sodium phosphate, sucrose, sodium chloride, human albumin, fetal bovine serum, neomycin

Contains porcine-derived gelatin and fetal bovine serum, both of which are known to contain alpha-gal and are high-risk for AGS patients.

Source Verified

Cetirizine Hydrochloride Tablets

May Contain

Major Pharmaceuticals

The product contains lactose monohydrate (bovine-derived) and magnesium stearate of unspecified origin.

Alpha-Gal Riskhigh

Mammalian Ingredients

lactose monohydrate (bovine-derived), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine HCl 10 mg

Inactive Ingredients

colloidal silicon dioxide, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Contains lactose monohydrate (bovine-derived) and magnesium stearate of unspecified origin.

Source Verified

Atorvastatin Calcium Tablets (Apotex)

Mammalian-Free

Apotex Inc.

Confirmed mammalian_free for the magnesium stearate excipient as it is explicitly labeled as vegetable source.

Alpha-Gal Risklow

Active Ingredients

Atorvastatin Calcium 10 mg, 20 mg, 40 mg, 80 mg

Inactive Ingredients

calcium acetate, colloidal silicon dioxide, croscarmellose sodium, hydroxypropyl cellulose, hypromellose, magnesium stearate (vegetable source), microcrystalline cellulose, polyethylene glycol, sodium carbonate, and titanium dioxide

Specifically lists magnesium stearate as being from a 'vegetable source', eliminating the risk of tallow-derived alpha-gal exposure from this excipient.

Source Verified

Gabapentin Capsules (Amneal)

Contains Mammalian

Amneal Pharmaceuticals

Status is contains_mammalian primarily due to the gelatin capsule shell.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (capsule shell), magnesium stearate (unspecified source)

Active Ingredients

Gabapentin 100 mg, 300 mg, 400 mg

Inactive Ingredients

magnesium stearate, pregelatinized starch (corn), starch (corn), talc, gelatin, sodium lauryl sulfate, titanium dioxide, iron oxide yellow, FD&C yellow#6, FD&C blue #1

The use of gelatin in the hard capsule shell indicates a definitive mammalian-derived ingredient, presenting a high risk for AGS patients.

Source Verified

MiraLAX

Mammalian-Free

Bayer HealthCare LLC

Status is mammalian_free as there are no inactive ingredients added to the pure synthetic polymer.

Alpha-Gal Risklow

Active Ingredients

Polyethylene Glycol 3350 17 g

Inactive Ingredients

none

Contains 100% polyethylene glycol 3350 with no added inactive ingredients or mammalian derivatives.

Source Verified

Pepcid AC Original Strength

May Contain

Kenvue (McNeil Consumer Healthcare)

Status is may_contain_mammalian because the magnesium stearate source is unknown.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Famotidine 10 mg

Inactive Ingredients

carnauba wax, hydroxypropyl cellulose, hypromellose, magnesium stearate, microcrystalline cellulose, pregelatinized starch, red iron oxide, talc, titanium dioxide

Contains magnesium stearate which could be mammalian-derived, though many manufacturers use vegetable sources without labeling.

Source Verified

Motrin IB Caplets

May Contain

Kenvue (McNeil Consumer Healthcare)

Status is may_contain_mammalian due to the inclusion of stearic acid of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

stearic acid (source unspecified)

Active Ingredients

Ibuprofen 200 mg (NSAID)

Inactive Ingredients

colloidal silicon dioxide, corn starch, croscarmellose sodium, FD&C red no. 40 aluminum lake, FD&C yellow no. 6 aluminum lake, iron oxides, microcrystalline cellulose, polyethylene glycol, polyvinyl alcohol, stearic acid, talc, titanium dioxide

Contains stearic acid, which is frequently derived from animal fats (tallow) unless specified as vegetable-sourced.

Source Verified

Allegra Allergy 24HR Tablets

Contains Mammalian

Sanofi-Aventis U.S. LLC

Status is contains_mammalian as gelatin is explicitly listed in the inactive ingredient list for this specific NDC.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (unspecified source), magnesium stearate (unspecified source)

Active Ingredients

Fexofenadine Hydrochloride 180 mg

Inactive Ingredients

croscarmellose sodium, D&C red 28, D&C red 33, FD&C blue 1, gelatin, hydroxypropylcellulose, hypromellose, magnesium stearate, microcrystalline cellulose, PEG-135, pharmaceutical ink, pregelatinized starch, titanium dioxide

Certain formulations and NDCs of Allegra 180mg tablets (such as NDC 41167-4122) explicitly list gelatin in the inactive ingredients, presenting a high risk.

Source Verified

Advil Coated Tablets

May Contain

Haleon

Status is may_contain_mammalian primarily due to stearic acid of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

stearic acid (source unspecified), white wax

Active Ingredients

Ibuprofen 200 mg (NSAID)

Inactive Ingredients

acetylated monoglycerides, colloidal silicon dioxide, corn starch, croscarmellose sodium, methylparaben, microcrystalline cellulose, pharmaceutical glaze, pharmaceutical ink, povidone, pregelatinized starch, propylparaben, sodium benzoate, sodium lauryl sulfate, stearic acid, sucrose, titanium dioxide, white wax

Contains stearic acid (unspecified source) and white wax (typically beeswax, but origin can vary). Stearic acid is the primary concern for AGS.

Source Verified

Amoxicillin Tablets (Teva)

May Contain

Teva Pharmaceuticals USA, Inc.

Amoxicillin tablets avoid gelatin but still contain other potentially mammalian-derived excipients like lactose.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Amoxicillin 500 mg

Inactive Ingredients

colloidal silicon dioxide, crospovidone, D&C Yellow No. 10 aluminum lake, hypromellose, magnesium stearate, microcrystalline cellulose, lactose monohydrate, sodium starch glycolate, titanium dioxide, triacetin

Unlike capsules, the tablets do not contain gelatin but do contain lactose and magnesium stearate.

Source Verified

Metformin Hydrochloride Oral Solution

Mammalian-Free

Micro Labs USA, Inc.

Metformin oral solution is free of common mammalian-derived inactive ingredients.

Alpha-Gal Risklow

Active Ingredients

Metformin Hydrochloride 500 mg per 5 mL

Inactive Ingredients

Benzoic Acid, hydrochloric acid, potassium bicarbonate, purified water, strawberry flavor, sucralose, xanthan gum

The inactive ingredients list consists of synthetic and plant-derived excipients only, with no common mammalian-derived components.

Source Verified

Losartan Potassium Tablets (Jubilant Cadista)

May Contain

Jubilant Cadista Pharmaceuticals Inc.

Jubilant Cadista's losartan formulation contains lactose and magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Losartan Potassium 50 mg

Inactive Ingredients

microcrystalline cellulose, lactose monohydrate, pregelatinized starch, magnesium stearate, polyvinyl alcohol, polyethylene glycol, talc, titanium dioxide, D&C yellow No. 10 aluminum lake, FD&C blue No. 2 aluminum lake

Contains lactose (milk derivative) and magnesium stearate (unspecified origin).

Source Verified

Tirosint Capsules

Contains Mammalian

IBSA Pharma Inc.

Tirosint is marketed for having few excipients but uses a gelatin-based soft capsule.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (source unspecified), glycerin (potential animal source)

Active Ingredients

Levothyroxine Sodium

Inactive Ingredients

gelatin, glycerin, water

Tirosint capsules are made of gelatin. While glycerin can be plant-based, the gelatin itself is mammalian.

Source Verified

Claritin 24 Hour Allergy Tablets

May Contain

Bayer Healthcare LLC

Claritin tablets utilize lactose and magnesium stearate as inactive ingredients.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate

Contains lactose monohydrate and magnesium stearate.

Source Verified

Tylenol Rapid Release Gels

Contains Mammalian

McNeil Consumer Healthcare

Tylenol Rapid Release Gels contain gelatin in the outer coating.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (source unspecified), magnesium stearate (source unspecified)

Active Ingredients

Acetaminophen 500 mg

Inactive Ingredients

benzyl alcohol, butylparaben, castor oil, cellulose, corn starch, D&C yellow no. 10, edetate calcium disodium, FD&C blue no. 1, FD&C blue no. 2, FD&C red no. 40, gelatin, hypromellose, magnesium stearate, methylparaben, polyethylene glycol, polysorbate 80, povidone, propylparaben, sodium lauryl sulfate, sodium propionate, sodium starch glycolate, titanium dioxide

Contains gelatin for the 'gel' coating, which is a confirmed mammalian derivative.

Source Verified

Levoxyl Tablets

May Contain

Pfizer Inc.

Levoxyl tablets do not contain lactose but do use magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium

Inactive Ingredients

microcrystalline cellulose, croscarmellose sodium, magnesium stearate, calcium sulfate dihydrate, sodium bicarbonate, colloidal silicon dioxide

Contains magnesium stearate. Note: Levoxyl is often preferred by AGS patients as it lacks the lactose found in Synthroid.

Source Verified

Metformin Hydrochloride Extended-Release Tablets

May Contain

Sun Pharmaceutical Industries, Inc.

Mammalian status depends on the unspecified origin of magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg

Inactive Ingredients

hypromellose, magnesium stearate, microcrystalline cellulose

Source of magnesium stearate is not specified and could be animal-derived.

Source Verified

Atorvastatin Calcium Tablets

Contains Mammalian

Sandoz Inc.

Contains bovine-derived lactose monohydrate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Atorvastatin Calcium 20 mg

Inactive Ingredients

lactose monohydrate, microcrystalline cellulose, calcium carbonate, croscarmellose sodium, polysorbate 80, hydroxypropyl cellulose, magnesium stearate, hypromellose, titanium dioxide, macrogol

Lactose monohydrate is derived from mammalian milk; magnesium stearate source is unspecified.

Source Verified

Losartan Potassium Tablets

Contains Mammalian

Zydus Pharmaceuticals (USA) Inc.

Confirmed to contain bovine-derived lactose.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Losartan Potassium 25 mg

Inactive Ingredients

lactose monohydrate, microcrystalline cellulose, pregelatinized starch, magnesium stearate, hypromellose, titanium dioxide, polyethylene glycol

Lactose is bovine-derived; magnesium stearate may also be mammalian.

Source Verified

Losartan Potassium Tablets

Contains Mammalian

Camber Pharmaceuticals, Inc.

Presence of lactose makes this product mammalian-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Losartan Potassium 50 mg

Inactive Ingredients

lactose monohydrate, microcrystalline cellulose, pregelatinized starch, magnesium stearate, hydroxypropyl cellulose, hypromellose, titanium dioxide

Contains bovine-derived lactose and potentially mammalian-derived magnesium stearate.

Source Verified

Levothyroxine Sodium Tablets

Contains Mammalian

Mylan Pharmaceuticals Inc.

Contains bovine lactose monohydrate and potentially mammalian magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium 50 mcg

Inactive Ingredients

butylated hydroxyanisole, colloidal silicon dioxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium starch glycolate, corn starch

Lactose is bovine-derived; magnesium stearate source is unknown.

Source Verified

Omeprazole Delayed-Release Capsules

Contains Mammalian

Sandoz Inc.

Hard gelatin capsule shell is confirmed as mammalian-derived.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (capsule shell), lactose (bovine)

Active Ingredients

Omeprazole 20 mg

Inactive Ingredients

disodium hydrogen phosphate, hydroxypropyl cellulose, hypromellose, lactose, mannitol, sodium lauryl sulfate, gelatin, FD&C Blue #1, FD&C Red #40, titanium dioxide

Contains gelatin, which is a high-risk mammalian product, and lactose.

Source Verified

Amoxicillin for Oral Suspension

Mammalian-Free

Teva Pharmaceuticals USA, Inc.

Suspension form is free of common mammalian excipients like gelatin and magnesium stearate.

Alpha-Gal Risklow

Active Ingredients

Amoxicillin 250 mg per 5 mL

Inactive Ingredients

FD&C Red No. 40, mixed berry flavoring, silicon dioxide, sodium benzoate, sodium citrate, sucrose, xanthan gum

The oral suspension formulation lacks the gelatin and stearates commonly found in tablets and capsules.

Source Verified

Loratadine Tablets

Contains Mammalian

Lannett Company, Inc.

Lactose monohydrate is derived from mammalian sources.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium starch glycolate

Confirmed to contain bovine lactose.

Source Verified

Prilosec OTC Tablets

May Contain

Procter & Gamble

Uses multiple stearates which lack specified origin, creating a potential mammalian risk.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), glyceryl monostearate (source unspecified)

Active Ingredients

Omeprazole magnesium 20.6 mg (equivalent to 20 mg omeprazole)

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, iron oxide, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol 6000, polysorbate 80, polyvinylpyrrolidone, sodium stearyl fumarate, starch, sucrose, talc, titanium dioxide, triethyl citrate

Contains magnesium stearate and glyceryl monostearate, both of which can be animal-derived.

Source Verified

Lipitor Tablets

Contains Mammalian

Viatris (formerly Pfizer/Parke-Davis)

Lactose is confirmed mammalian; magnesium stearate source is not specified.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Atorvastatin Calcium 10 mg, 20 mg, 40 mg, or 80 mg

Inactive Ingredients

calcium carbonate, candelilla wax, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, Opadry White YS-1-7040 (hypromellose, polyethylene glycol, talc, titanium dioxide), polysorbate 80, simethicone emulsion

Contains bovine-derived lactose and magnesium stearate which may be animal-derived.

Source Verified

Amoxicillin Capsules

Contains Mammalian

Aurobindo Pharma Limited

The capsule shell is made of mammalian-derived gelatin.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (capsule shell), magnesium stearate (source unspecified)

Active Ingredients

Amoxicillin 500 mg

Inactive Ingredients

croscarmellose sodium, gelatin, magnesium stearate, titanium dioxide, yellow iron oxide

Hard gelatin capsules are typically derived from bovine or porcine sources, representing a high risk for AGS.

Source Verified

Synthroid Tablets

Contains Mammalian

AbbVie Inc.

Contains bovine-derived lactose and potentially mammalian-derived magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium 25mcg to 300mcg

Inactive Ingredients

acacia, confectioner's sugar, corn starch, lactose monohydrate, magnesium stearate, povidone, talc

Contains lactose monohydrate derived from cow's milk and magnesium stearate of unspecified origin.

Source Verified

Gabapentin Capsules

Contains Mammalian

Glenmark Pharmaceuticals Inc.

Hard gelatin capsule shell is confirmed mammalian-derived.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (capsule shell), lactose monohydrate (bovine)

Active Ingredients

Gabapentin 300 mg

Inactive Ingredients

corn starch, lactose monohydrate, talc, gelatin, titanium dioxide, yellow iron oxide

Contains mammalian-derived gelatin for the capsule shell and lactose monohydrate.

Source Verified

Metformin Hydrochloride Tablets

May Contain

Amneal Pharmaceuticals LLC

Mammalian status is uncertain due to the magnesium stearate ingredient.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg

Inactive Ingredients

povidone, magnesium stearate, hypromellose, polyethylene glycol

The source of magnesium stearate is not specified and may be animal-derived.

Source Verified

Metformin Hydrochloride (Amneal)

May Contain

Amneal Pharmaceuticals

This generic metformin contains magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg, 850 mg, or 1000 mg

Inactive Ingredients

povidone, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, polyethylene glycol, polyvinyl alcohol, titanium dioxide, talc

Contains magnesium stearate with an unspecified source, which is frequently derived from mammalian fats.

Source Verified

Prilosec OTC (Omeprazole Magnesium)

May Contain

Procter & Gamble

Prilosec OTC contains several stearate-based excipients of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified), glyceryl monostearate (source unspecified)

Active Ingredients

Omeprazole magnesium 20.6 mg

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, iron oxide, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol 6000, polysorbate 80, polyvinylpyrrolidone, sodium stearyl fumarate, starch, sucrose, talc, titanium dioxide, triethyl citrate

Contains magnesium stearate and glyceryl monostearate, both of which can be derived from mammalian fats.

Source Verified

Losartan Potassium (Camber)

Contains Mammalian

Camber Pharmaceuticals, Inc.

This generic losartan contains lactose and magnesium stearate of potential mammalian origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Losartan potassium 25 mg, 50 mg, or 100 mg

Inactive Ingredients

crospovidone, lactose monohydrate, low substituted hydroxypropyl cellulose, magnesium stearate, microcrystalline cellulose, pregelatinized starch, carnauba wax, hypromellose, titanium dioxide

Contains bovine-derived lactose and magnesium stearate, which may be animal-derived.

Source Verified

Zyrtec (Cetirizine HCl Tablets)

Contains Mammalian

Johnson & Johnson Consumer Inc.

Zyrtec tablets contain mammalian-derived lactose and potentially mammalian magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine HCl 10 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Contains lactose monohydrate and magnesium stearate of unspecified origin.

Source Verified

Claritin (Loratadine Tablets)

Contains Mammalian

Bayer HealthCare LLC

Claritin tablets utilize lactose and magnesium stearate, both commonly mammalian-derived.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate

Contains bovine-derived lactose and magnesium stearate with an unspecified source.

Source Verified

Atorvastatin Calcium (Sandoz)

Contains Mammalian

Sandoz Inc.

Sandoz atorvastatin contains lactose and potentially mammalian magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Atorvastatin calcium 10 mg, 20 mg, 40 mg, or 80 mg

Inactive Ingredients

calcium carbonate, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polysorbate 80, hypromellose, polyethylene glycol, talc, titanium dioxide

Contains bovine-derived lactose and magnesium stearate which is often of animal origin.

Source Verified

Levothyroxine Sodium (Lannett)

May Contain

Lannett Company, Inc.

This generic levothyroxine contains magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium (various strengths)

Inactive Ingredients

magnesium stearate, microcrystalline cellulose, colloidal silicon dioxide, sodium starch glycolate

Contains magnesium stearate without a specified plant-based source.

Source Verified

Metformin Hydrochloride (Mylan)

Contains Mammalian

Mylan Pharmaceuticals Inc.

Mylan's metformin contains lactose and magnesium stearate, both potentially mammalian.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg, 850 mg, or 1000 mg

Inactive Ingredients

cellulose acetate, hypromellose, lactose monohydrate, magnesium stearate, polyethylene glycol, povidone, red iron oxide, sodium lauryl sulfate, talc, titanium dioxide, triacetin, triethyl citrate, yellow iron oxide

Contains bovine-derived lactose and magnesium stearate of unspecified origin.

Source Verified

Amoxicillin Capsules (Aurobindo)

Contains Mammalian

Aurobindo Pharma Limited

Aurobindo amoxicillin capsules utilize mammalian gelatin for the shell.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian), magnesium stearate (source unspecified)

Active Ingredients

Amoxicillin as the trihydrate 250 mg or 500 mg

Inactive Ingredients

croscarmellose sodium, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, D&C Yellow No. 10, FD&C Blue No. 1, FD&C Red No. 40, gelatin, titanium dioxide

The capsule shell consists of mammalian gelatin, a high-risk ingredient for alpha-gal allergic reactions.

Source Verified

Varivax Vaccine

Contains Mammalian

Merck Sharp & Dohme LLC

Varivax vaccine contains mammalian stabilizers including hydrolyzed gelatin and trace bovine serum.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed gelatin (mammalian), fetal bovine serum (bovine)

Active Ingredients

Varicella Virus Vaccine Live

Inactive Ingredients

sucrose, hydrolyzed gelatin, sodium chloride, monosodium L-glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, residual components of MRC-5 cells, neomycin, fetal bovine serum

Contains hydrolyzed gelatin and trace fetal bovine serum, both known mammalian components and potential alpha-gal sources.

Source Verified

Gabapentin Capsules (ScieGen)

Contains Mammalian

ScieGen Pharmaceuticals, Inc.

ScieGen's gabapentin capsules contain both mammalian gelatin and bovine lactose.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian), lactose monohydrate (bovine)

Active Ingredients

Gabapentin 100 mg, 300 mg, or 400 mg

Inactive Ingredients

pregelatinized starch (maize), lactose monohydrate, talc, gelatin, titanium dioxide, FD&C Blue 2, ferric oxide yellow

Contains a mammalian gelatin capsule shell and bovine-derived lactose.

Source Verified

Losartan Potassium (Strides Pharma)

May Contain

Strides Pharma Inc.

This version of losartan includes magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Losartan potassium 25 mg, 50 mg, or 100 mg

Inactive Ingredients

croscarmellose sodium, hypromellose, magnesium stearate, mannitol, microcrystalline cellulose, povidone, propylene glycol, talc, and titanium dioxide

Contains magnesium stearate which could be derived from mammalian fats.

Source Verified

ProQuad Vaccine

Contains Mammalian

Merck Sharp & Dohme LLC

ProQuad contains mammalian-derived stabilizers such as gelatin and trace bovine serum.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed gelatin (mammalian), fetal bovine serum (bovine)

Active Ingredients

Measles, Mumps, Rubella and Varicella Virus Vaccine Live

Inactive Ingredients

sucrose, hydrolyzed gelatin, sorbitol, monosodium L-glutamate, sodium phosphate dibasic, human albumin, sodium bicarbonate, potassium phosphate monobasic, potassium chloride, potassium phosphate dibasic, neomycin, fetal bovine serum

Uses hydrolyzed gelatin and trace fetal bovine serum as stabilizers.

Source Verified

Advil Tablets

May Contain

Haleon

Advil tablets contain stearic acid which may be derived from mammalian tallow.

Alpha-Gal Riskmoderate

Mammalian Ingredients

stearic acid (source unspecified), white wax (beeswax, non-mammalian but animal)

Active Ingredients

Ibuprofen 200 mg

Inactive Ingredients

acetated monoglycerides, colloidal silicon dioxide, corn starch, croscarmellose sodium, methylparaben, microcrystalline cellulose, pharmaceutical glaze, pharmaceutical ink, povidone, propylparaben, sodium lauryl sulfate, stearic acid, sucrose, titanium dioxide, white wax

Contains stearic acid of unspecified source; while beeswax is not mammalian, stearates often are.

Source Verified

Benadryl Allergy ULTRATABS

May Contain

Johnson & Johnson Consumer Inc.

Benadryl tablets contain magnesium stearate of potential mammalian origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Diphenhydramine HCl 25 mg

Inactive Ingredients

carnauba wax, croscarmellose sodium, D&C red no. 27 aluminum lake, dibasic calcium phosphate, hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate 80, titanium dioxide

Contains magnesium stearate which is commonly mammalian-derived unless vegetable source is specified.

Source Verified

Synthroid (Levothyroxine Sodium)

Contains Mammalian

AbbVie Inc.

Synthroid contains bovine-derived lactose and magnesium stearate of unspecified origin.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium (various strengths)

Inactive Ingredients

acacia, confectioner's sugar (contains corn starch), lactose monohydrate, magnesium stearate, povidone, talc

Contains lactose monohydrate (bovine milk derivative) and magnesium stearate of unspecified origin.

Source Verified

Lipitor (Atorvastatin Calcium)

Contains Mammalian

Viatris / Pfizer

Lipitor contains lactose monohydrate and magnesium stearate, both of which are common mammalian-derived excipients.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (bovine), magnesium stearate (source unspecified)

Active Ingredients

Atorvastatin calcium 10 mg, 20 mg, 40 mg, or 80 mg

Inactive Ingredients

calcium carbonate, candelilla wax, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, Opadry White YS-1-7040 (hypromellose, polyethylene glycol, talc, titanium dioxide), polysorbate 80, simethicone emulsion

Contains bovine-derived lactose and magnesium stearate, which may be of animal origin.

Source Verified

Advil Liqui-Gels

Contains Mammalian

Haleon (formerly GSK Consumer Healthcare)

Contains mammalian gelatin, which pose a high risk of alpha-gal reactions.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (bovine/porcine)

Active Ingredients

Solubilized Ibuprofen 200 mg

Inactive Ingredients

FD&C green no. 3, gelatin, lecithin (soybean), medium-chain triglycerides, pharmaceutical ink, polyethylene glycol, potassium hydroxide, purified water, sorbitol sorbitan solution

Gelatin is a primary mammalian product and a known trigger for Alpha-Gal Syndrome reactions.

Source Verified

Levothyroxine Sodium Tablets (Lannett)

Contains Mammalian

Lannett Company, Inc.

Confirmed mammalian lactose and possible mammalian stearates in this generic thyroid medication.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium 25 mcg

Inactive Ingredients

colloidal silicon dioxide, lactose, magnesium stearate, microcrystalline cellulose, corn starch, acacia, sodium starch glycolate

Lactose is mammalian-derived; magnesium stearate may also be mammalian.

Source Verified

Metformin Hydrochloride Tablets (Teva)

May Contain

Teva Pharmaceuticals USA, Inc.

Unknown origin of magnesium stearate creates a potential mammalian exposure risk.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg

Inactive Ingredients

colloidal silicon dioxide, hypromellose, magnesium stearate, polyethylene glycol, povidone, titanium dioxide

Contains magnesium stearate without a specified plant origin.

Source Verified

Prilosec OTC

May Contain

Procter & Gamble

Multiple stearate-based inactive ingredients of unspecified origin indicate a moderate risk.

Alpha-Gal Riskmoderate

Mammalian Ingredients

glyceryl monostearate (potential animal source), magnesium stearate (source unspecified)

Active Ingredients

Omeprazole Magnesium 20.6 mg

Inactive Ingredients

glyceryl monostearate, hydroxypropyl cellulose, hypromellose, iron oxide, magnesium stearate, methacrylic acid copolymer, microcrystalline cellulose, paraffin, polyethylene glycol, polysorbate 80, rice starch, talc, titanium dioxide, triethyl citrate

Both glyceryl monostearate and magnesium stearate can be sourced from animal fats.

Source Verified

Tylenol Extra Strength Caplets

May Contain

McNeil Consumer Healthcare

Magnesium stearate source is not specified, presenting a potential risk for alpha-gal patients.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Acetaminophen 500 mg

Inactive Ingredients

carnauba wax, corn starch, FD&C red no. 40 aluminum lake, hypromellose, magnesium stearate, modified starch, polyethylene glycol, powdered cellulose, pregelatinized starch, propylene glycol, shellac, sodium starch glycolate, titanium dioxide

Contains magnesium stearate, which is frequently derived from bovine or porcine tallow unless specified as vegetable-sourced.

Source Verified

Omeprazole Delayed-Release Capsules (Apotex)

Contains Mammalian

Apotex Corp.

Mammalian gelatin is used for the capsule shell, posing high alpha-gal risk.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian)

Active Ingredients

Omeprazole 20 mg

Inactive Ingredients

magnesium hydroxide, mannitol, methacrylic acid copolymer dispersion, povidone, triethyl citrate, gelatin, titanium dioxide

Hard gelatin capsule shell is made from mammalian sources.

Source Verified

Gabapentin Capsules (Teva)

Contains Mammalian

Teva Pharmaceuticals USA, Inc.

High risk for alpha-gal patients due to mammalian-derived gelatin capsules.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian)

Active Ingredients

Gabapentin 300 mg

Inactive Ingredients

corn starch, FD&C Red No. 3, FD&C Yellow No. 6, gelatin, talc, titanium dioxide

Gelatin in the capsule shell is derived from mammalian sources.

Source Verified

Losartan Potassium Tablets (Lupin)

Contains Mammalian

Lupin Pharmaceuticals, Inc.

Lactose content confirms mammalian derivation, with stearate source remaining unknown.

Alpha-Gal Riskmoderate

Mammalian Ingredients

anhydrous lactose (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Losartan Potassium 50 mg

Inactive Ingredients

anhydrous lactose, colloidal silicon dioxide, magnesium stearate, microcrystalline cellulose, pregelatinized starch, hydroxypropyl cellulose, hypromellose, titanium dioxide

Presence of lactose (mammalian) and magnesium stearate (unspecified source).

Source Verified

Cetirizine Hydrochloride Tablets (Dr. Reddy's)

Contains Mammalian

Dr. Reddy's Laboratories Limited

Lactose and stearates are mammalian-linked components found in this allergy tablet.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine Hydrochloride 10 mg

Inactive Ingredients

corn starch, hypromellose, lactose monohydrate, magnesium stearate, polyethylene glycol, titanium dioxide

Lactose is mammalian-derived; magnesium stearate may be animal-derived.

Source Verified

M-M-R II Vaccine

Contains Mammalian

Merck Sharp & Dohme LLC

High risk due to the presence of hydrolyzed mammalian gelatin as a stabilizer.

Alpha-Gal Riskhigh

Mammalian Ingredients

hydrolyzed gelatin (mammalian), fetal bovine serum (bovine)

Active Ingredients

Measles, Mumps, and Rubella Virus Vaccine Live

Inactive Ingredients

sorbitol, sucrose, hydrolyzed gelatin, recombinant human albumin, fetal bovine serum, neomycin, sodium phosphate, sodium chloride

Contains hydrolyzed gelatin and residual fetal bovine serum, which are high-risk triggers for alpha-gal reactions.

Source Verified

Zyrtec Allergy Tablets

Contains Mammalian

Johnson & Johnson Consumer Inc.

Contains mammalian-derived lactose and potential mammalian stearates.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Cetirizine Hydrochloride 10 mg

Inactive Ingredients

colloidal silicon dioxide, croscarmellose sodium, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, titanium dioxide

Contains lactose from milk; magnesium stearate source is not explicitly defined as vegetable.

Source Verified

Lipitor

Contains Mammalian

Viatris Specialty LLC

Contains mammalian-derived lactose and potential mammalian-sourced magnesium stearate.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Atorvastatin Calcium 40 mg

Inactive Ingredients

calcium carbonate, candelilla wax, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, hypromellose, polyethylene glycol, talc, titanium dioxide, polysorbate 80, simethicone emulsion

Lactose is derived from mammalian milk; magnesium stearate source is not specified as plant-based.

Source Verified

Metformin Hydrochloride Tablets (Amneal)

May Contain

Amneal Pharmaceuticals NY LLC

Source of magnesium stearate is unknown, necessitating caution for sensitive patients.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Metformin Hydrochloride 500 mg

Inactive Ingredients

hypromellose, magnesium stearate, polyethylene glycol, povidone

Contains magnesium stearate with an unspecified source, which may be animal-derived.

Source Verified

Claritin Tablets

Contains Mammalian

Bayer HealthCare LLC

Mammalian lactose and unspecified stearate source suggest risk for highly sensitive AGS patients.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate

Lactose is confirmed mammalian-derived; magnesium stearate origin is unspecified.

Source Verified

Atorvastatin Calcium Tablets (Sandoz)

Contains Mammalian

Sandoz Inc.

Confirmed mammalian lactose makes this product unsuitable for strict animal-free adherence.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Atorvastatin Calcium 20 mg

Inactive Ingredients

calcium carbonate, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polysorbate 80, hypromellose, polyethylene glycol, talc, titanium dioxide

Contains lactose (mammalian) and unspecified magnesium stearate.

Source Verified

Loratadine Tablets (Perrigo)

Contains Mammalian

Perrigo Company plc

Generic loratadine tablets often utilize mammalian-derived lactose and stearates.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Loratadine 10 mg

Inactive Ingredients

corn starch, lactose monohydrate, magnesium stearate

Contains milk-derived lactose and magnesium stearate of unknown origin.

Source Verified

Amoxicillin Capsules (Teva)

Contains Mammalian

Teva Pharmaceuticals USA, Inc.

Porcine or bovine gelatin in the capsule shell makes this a high-risk medication for AGS.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (capsule shell), magnesium stearate (source unspecified)

Active Ingredients

Amoxicillin Trihydrate 500 mg

Inactive Ingredients

magnesium stearate, talc, D&C Yellow No. 10, FD&C Red No. 40, gelatin, titanium dioxide

The hard gelatin capsule shell is typically derived from porcine or bovine sources.

Source Verified

Synthroid

Contains Mammalian

AbbVie Inc.

Confirmed mammalian-derived lactose and potential mammalian stearates require caution for AGS patients.

Alpha-Gal Riskmoderate

Mammalian Ingredients

lactose monohydrate (milk-derived), magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium 50 mcg

Inactive Ingredients

acacia, confectioner's sugar, lactose monohydrate, magnesium stearate, povidone, talc

Contains lactose from milk and magnesium stearate of unspecified origin, both of which are mammalian-derived.

Source Verified

Levothyroxine Sodium Tablets (Mylan)

May Contain

Mylan Pharmaceuticals Inc.

Absence of lactose reduces but does not eliminate mammalian risk due to unspecified stearates.

Alpha-Gal Riskmoderate

Mammalian Ingredients

magnesium stearate (source unspecified)

Active Ingredients

Levothyroxine Sodium 100 mcg

Inactive Ingredients

butylated hydroxyanisole, colloidal silicon dioxide, crospovidone, magnesium stearate, mannitol, microcrystalline cellulose, povidone, sodium lauryl sulfate, sucrose

Contains magnesium stearate which can be animal-derived; notably lacks lactose which is present in other brands.

Source Verified

Gabapentin Capsules (Aurobindo)

Contains Mammalian

Aurobindo Pharma Limited

Capsule shell contains mammalian gelatin, posing a high risk for AGS patients.

Alpha-Gal Riskhigh

Mammalian Ingredients

gelatin (mammalian), magnesium stearate (source unspecified)

Active Ingredients

Gabapentin 300 mg

Inactive Ingredients

corn starch, gelatin, magnesium stearate, mannitol, sodium lauryl sulphate, talc, titanium dioxide, yellow iron oxide

Hard gelatin capsules are almost exclusively mammalian-derived, and magnesium stearate source is unclear.

Source Verified

While we strive for accuracy, information may change over time. Always double-check and verify against official sources before relying on it.

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